| NPI | 1215025010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HELIGMAN President, Governing Body 239-489-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1044) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |